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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Oct 19, 2025; 15(10): 108009
Published online Oct 19, 2025. doi: 10.5498/wjp.v15.i10.108009
Published online Oct 19, 2025. doi: 10.5498/wjp.v15.i10.108009
Neck pain and emotional state in cervical spondylosis: A dual trajectory model analysis
Jia-Qi Yang, Department of Basic Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China
Jie Wu, Jian-En Guo, Zhi-Xin Yang, Jin-Ying Liu, Yu-Man Wang, Yin-Juan Zhang, Department of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, Hebei Province, China
Author contributions: Zhang YJ designed the study; Yang JQ analyzed the data and wrote the manuscript; Wu J and Guo JE provided access to patient records and resources; Yang ZX reviewed and revised the manuscript; Liu JY and Wang YM collected the data. All authors have read and approve the final manuscript.
Supported by 2022 Chinese Medicine Scientific Research Project of Hebei Administration of Traditional Chinese Medicine, No. 2022157; and 2025 Annual Scientific Research Project of Higher Education Institutions in Hebei Province, No. QN2025654.
Institutional review board statement: The Ethics Committee of Chengde Medical College approved this study (approval number: 2021018).
Informed consent statement: All study participants, or their legal guardians, provided written consent prior to study enrollment.
Conflict-of-interest statement: There are no any conflicts of interest.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: There are no data sharing statement.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yin-Juan Zhang, Lecturer, Department of Traditional Chinese Medicine, Chengde Medical University, Anyuan Road, Chengde 067000, Hebei Province, China.
Received: May 14, 2025
Revised: June 17, 2025
Accepted: July 30, 2025
Published online: October 19, 2025
Processing time: 135 Days and 0.2 Hours
Revised: June 17, 2025
Accepted: July 30, 2025
Published online: October 19, 2025
Processing time: 135 Days and 0.2 Hours
Core Tip
Core Tip: This study employed group-based dual trajectory modeling to analyze longitudinal correlations between neck pain (Neck Pain Questionnaire scores) and emotional state (Short-Form McGill Pain Questionnaire affective scores) in patients with cervical spondylosis. Key findings indicate that acupuncture significantly reduces high pain and emotional distress trajectories, whereas aging increases the risk. Dual trajectory analysis revealed bidirectional associations: 69.1% of patients with low pain had emotional distress, whereas 42.6% of patients with high distress had pain. Integrated pain-emotion management strategies are recommended.